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Image Guidance Techniques and Treatment Approach Optimization in the Management of Type-II Endoleak After Endovascular Aortic Aneurysm Repair.
Ann Vasc Surg
February 2024
Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX; Occam Labs, London, UK.
Background: Over the past 3 decades endovascular aortic aneurysm repair emerged as the primary approach for abdominal aortic aneurysm management, however the occurrence of endoleak following endograft implantation imposes a high toll on patients and hospitals alike. The early diagnosis and appropriate treatment of endoleaks is associated with better outcomes, which calls for more advanced imaging and a standardized approach for endoleak diagnosis and management following endovascular aortic aneurysm repair. Although conventional strategy with non-targeted deployment of coils and embolic material in the aneurysm sac is considered to be the standard approach in many hospitals, it may not prove to be a viable option, given that it affects any further follow-up imaging in the event of sub-optimal therapy and consequent recurrence.
View Article and Find Full Text PDFUsing a Catheter for Hemodialysis Placed in the Inferior Vena Cava for the First Time in N. Macedonia - Translumbar Approach.
Pril (Makedon Akad Nauk Umet Odd Med Nauki)
March 2023
1University Hospital of Nephrology, Faculty of Medicine, SS Cyril and Methodius Skopje, RN Macedonia.
Maintenance of vascular access for hemodialysis remains a challenge for every doctor. Exhausted conventional vascular access is the cause for the placement of the central venous catheter in unconventional sites such as enlarged collateral vessels, hepatic veins, hemiazygos, azygos, renal veins, and the inferior vena cava. The percutaneous translumbar catheter for hemodialysis in the inferior vena cava was described over 20 years ago.
View Article and Find Full Text PDFSafety and Efficacy of Percutaneous Translumbar Inferior Vena Cava Catheters: A Systematic Review and Meta-Analysis.
J Vasc Interv Radiol
June 2023
Division of Vascular Surgery, Tufts University School of Medicine, Boston, Massachusetts.
Purpose: To examine the reported adverse events associated with inferior vena cava (IVC) catheterization and investigate the reasons for discrepancies between reports.
Materials And Methods: Cochrane Library trials register, PubMed, Embase, and Scopus databases were systematically searched for studies that included any terms of IVC and phrases related to catheters or central access. Of the 5,075 searched studies, 137 were included in the full-text evaluation.
Effective treatment of type IIb endoleak via targeted translumbar embolization.
J Vasc Surg Cases Innov Tech
June 2022
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN.
After endovascular aneurysm repair, type II endoleaks are encountered frequently, and warrant intervention when associated with aneurysmal sac expansion. Thus, the contemporary vascular surgeon must be able to manage them. The presented case illustrates our approach to percutaneous translumbar selective coil embolization of individual lumbar arteries feeding the type IIb endoleak.
View Article and Find Full Text PDFXper computed tomography-guided translumbar inferior vena cava catheterization for long-term hemodialysis: A case report and literature review.
Semin Dial
January 2022
Department of Nephrology, Kidney Institute of CPLA, Changzheng Hospital, Naval Medical University, Shanghai, China.
Hemodialysis is the most widely used renal replacement therapy for end-stage renal disease patients. Exhausted vascular access due to repeated indwelling central venous catheters is becoming a challenging clinical problem, which also contributes to reduced survival of the hemodialysis patients. Lack of conventional peripheral and central venous access mandates the use of alternative strategies.
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